| NPI | 1679991277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 69240) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WI 69240) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: WI 69240) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-10-31 |