| NPI | 1558328203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A53481) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A53481) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A53481) | |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-07-07 |