| NPI | 1710479399 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301504087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CO 27-1511893) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2024-01-17 |