| NPI | 1699891192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV 16000) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VT 042-0012250) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2021-11-05 |