| NPI | 1841642659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 066681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301110511) |
| 207R00000X Internal Medicine (Licence: CT 66681) | |
| Enumeration Date | 2016-07-05 |
| Last Update Date | 2024-03-12 |