| NPI | 1730716796 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0102208771) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD H0101272) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-10-10 |