NPI | 1831265685 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: MD D52481) |
Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: DC MD30498) |
207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101056580) | |
Enumeration Date | 2006-11-24 |
Last Update Date | 2022-01-29 |