NPI | 1093342842 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA 20A19659) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A19659) |
Enumeration Date | 2020-03-23 |
Last Update Date | 2025-09-18 |