| NPI | 1740436716 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VT 0420012159) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VT 0420012159) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2022-01-06 |