| NPI | 1639316623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 262693) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 262693) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2019-02-27 |