| NPI | 1457392136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME90844) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL me90844) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN MD0000059707) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: ME MD23213) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101268192) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 205680) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IA MD-46944) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.151724) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 300985) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: UT 11463402-1205) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.137194) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA C167271) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IN 01082741A) | |
| 208000000X Pediatrics (Licence: FL ME90844) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: FL me90844) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2024-10-18 |