| NPI | 1548910680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL 1548910680) |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2025-06-27 |