| NPI | 1629573563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A174245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A174245) |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2025-03-14 |