NPI | 1689699662 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 5101008443) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 5101008443) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2015-06-17 |