| NPI | 1841264413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101042614) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD 2084N0400X) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 14958) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D0026660) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101042614) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2012-12-10 |