| NPI | 1942241542 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NH 9751) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NH 9751) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2015-04-28 |