| NPI | 1578723151 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA C172392) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0116020672) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: VA 0101246854) | |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-07-06 |