| NPI | 1063075794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD477989) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD477989) |
| Enumeration Date | 2019-04-18 |
| Last Update Date | 2024-11-04 |