NPI | 1982998977 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 74176) |
Additional Taxonomies | 207QS1201X Family Medicine Sleep Medicine (Licence: GA 74176) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2015-08-18 |