| NPI | 1831726009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 70230) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 260722) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2024-09-23 |