| NPI | 1821137050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: OK 24091) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 24091) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2018-06-14 |