| NPI | 1992026017 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2021-02558) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15206) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME113321) | |
| Enumeration Date | 2010-06-14 |
| Last Update Date | 2022-03-18 |