| NPI | 1710539150 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A209097) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 288871) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: CA A209097) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-07-24 |