| NPI | 1356577787 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX P7011) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL OS11800) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2014-10-13 |