| NPI | 1720508989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 85711-20) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 31945) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NE 31945) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2025-07-07 |