NPI | 1144422999 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 34. 008978) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 219069) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 5101016757) | |
Enumeration Date | 2007-06-04 |
Last Update Date | 2007-07-08 |