NPI | 1841045705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A193789) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A193789) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A193789) | |
Enumeration Date | 2024-04-23 |
Last Update Date | 2025-08-18 |