| NPI | 1770902116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 64546) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX BP10049472) |
| 207R00000X Internal Medicine (Licence: MN 64546) | |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2023-04-17 |