NPI | 1558898403 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 1558898403) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 5101026006) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2021-05-27 |