NPI | 1538195573 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: TX 9686) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 573705) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2008-09-30 |