| NPI | 1922669431 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: MI 4301506226) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MI 4301506226) |
| 207Q00000X Family Medicine (Licence: MI 4351045646) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4351045646) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2024-01-23 |