NPI | 1841386513 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 156468-1205) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 156468-1205) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2021-10-26 |