| NPI | 1588083307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD61056890) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 70283) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2021-03-17 |