| NPI | 1851851778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 99638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME154521) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: GA 15644) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2024-05-15 |