| NPI | 1669747861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD60484294) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60484294) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2024-05-24 |