| 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 |