| NPI | 1831177385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD19899) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR MD19899) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2022-01-17 |