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 |