| NPI | 1619088580 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301097314) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301097314) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MI 4301097314) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2022-04-27 |