| NPI | 1578062725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E DARIN Owner 228-281-0679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MS 22165) |
| Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: MS 22165) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MS 22165) | |
| Enumeration Date | 2018-02-02 |
| Last Update Date | 2018-02-23 |