| NPI | 1851355812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OK 22222) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OK 22222) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OK 22222) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-11-12 |