| 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 |