| NPI | 1386847507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301080502) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: FL ME 86732) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |