| NPI | 1891088753 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01074904A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301098581) |
| 208000000X Pediatrics (Licence: MI 4301098581) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301098581) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2022-10-08 |