| NPI | 1619356383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IA MD-47343) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-47343) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 1.064325) | |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2020-07-07 |