| NPI | 1881056695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD61094605) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MT MED-PHYS-LIC-129102) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2023-10-19 |