NPI | 1518252014 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: IA 04668) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: IA R-9199) |
Enumeration Date | 2011-06-13 |
Last Update Date | 2020-11-10 |