| NPI | 1912094319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME113895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA G38493) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA G38493) | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine (Licence: CA G38493) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2022-11-18 |