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: AZ R76365) |
207R00000X Internal Medicine (Licence: IN 01086441A) | |
Enumeration Date | 2017-05-25 |
Last Update Date | 2024-08-21 |