| NPI | 1578849444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: GA 069749) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 005364) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: NC 2015-00835) | |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: GA 69749) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 2015-00835) | |
| 207Q00000X Family Medicine (Licence: GA 069749) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2016-11-08 |