NPI | 1053305508 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO R9773) |
Additional Taxonomies | 174400000X Specialist (Licence: TX h5625) |
Enumeration Date | 2005-09-09 |
Last Update Date | 2021-09-07 |