| NPI | 1861856510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: UT 14058793-1205) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: FL ME158255) |
| 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 4301502051) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2024-08-13 |