| NPI | 1609846682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K8628) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX K8628) |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2022-04-12 |