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 |