| NPI | 1669447397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX L5347) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX L5347) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2013-09-06 |