| NPI | 1932552148 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 5101022621) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 27964) |
| 208600000X Surgery (Licence: MI 5101022621) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-06-22 |