| 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 | 2024-12-10 |