| NPI | 1811997992 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OK 12055) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 12055) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2023-02-08 |