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 |