| NPI | 1588841043 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA C141436) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-093180) |
| 207R00000X Internal Medicine (Licence: NV 14426) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2016-06-28 |