| NPI | 1952974784 |
|---|---|
| Former Name | E E E |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: ID 7071562) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MT223162) |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-07-01 |