| NPI | 1699332874 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2026-02892) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC BITT-E5LWLJ) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2026-07-29 |