| NPI | 1629368238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A128615) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A128615) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2026-02-17 |