| NPI | 1730617135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301504190) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301112289) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301504190) | |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2021-08-09 |