| NPI | 1720519820 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TN 4834) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 4834) |
| 207R00000X Internal Medicine (Licence: OH 34.015048) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 34.015048) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 4834) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-08-09 |