| NPI | 1700443777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 12857162-1205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI MDR-7685) |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2022-06-02 |