| NPI | 1104140664 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01072901A) |
| Additional Taxonomies | 207RA0401X Internal Medicine, Addiction Medicine (Licence: IN 01072901A) |
| Enumeration Date | 2010-03-26 |
| Last Update Date | 2015-09-15 |