NPI | 1629368238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A128615) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A128615) |
Enumeration Date | 2011-04-15 |
Last Update Date | 2023-08-25 |