| NPI | 1033504147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: ID M-15166) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: OR MD199781) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: ID M-15166) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: VT 0600004379) | |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2020-08-06 |