| NPI | 1992706857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine Sleep Medicine (Licence: MT MED-PHYS-LIS-7430) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MT 7430) |
| 207Q00000X Family Medicine (Licence: MT MED-PHYS-LIS-7430) | |
| 207QS1201X Family Medicine Sleep Medicine (Licence: MT 7430) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2022-09-13 |