| NPI | 1457739534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OKTAI MAMEDOV Sole Proprietor 443-248-1877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301096000) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2024-10-04 |