| NPI | 1700151958 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 18478) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01077874A) |
| 207R00000X Internal Medicine (Licence: FL ME131185) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01077874A) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME131185) | |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-06-02 |