| NPI | 1801031612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AZ 60877) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A112085) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A112085) | |
| Enumeration Date | 2008-12-08 |
| Last Update Date | 2020-10-01 |