| NPI | 1558373464 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME95624) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME95624) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2023-01-30 |