NPI | 1649455353 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2009-00032) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2009-00032) |
207R00000X Internal Medicine (Licence: SC 86868) | |
Enumeration Date | 2008-01-02 |
Last Update Date | 2023-10-24 |