| NPI | 1598738270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: UT 61493941205) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: UT 6149394-1205) |
| Enumeration Date | 2006-02-11 |
| Last Update Date | 2023-03-07 |