| NPI | 1730617341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 11732657-1205) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IN 01086441A) |
| 207R00000X Internal Medicine (Licence: AZ R76365) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2024-03-06 |