| NPI | 1639529530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: DE C1-0023831) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: DE C1-0023831) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2024-09-30 |