| NPI | 1366214256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 343900000X Non-emergency Medical Transport (VAN) |
| Additional Taxonomies | 173F00000X Sleep Specialist, PhD |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| 342000000X | |
| 343800000X Secured Medical Transport (VAN) | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2023-10-25 |