| NPI | 1689952228 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301098812) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301098812) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2017-12-14 |