| NPI | 1922410869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: CA A133066) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI A133066) |
| 207Q00000X Family Medicine (Licence: CA A133066) | |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2019-12-17 |