| NPI | 1811218480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME138298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2010019205) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A129738) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A129738) | |
| Enumeration Date | 2010-06-18 |
| Last Update Date | 2020-08-31 |