| NPI | 1831759596 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD61357479) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: FL TRN29309) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: WA MD61357479) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME154593) | |
| Enumeration Date | 2019-06-15 |
| Last Update Date | 2023-07-14 |