| NPI | 1902833213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: AL MD.28174) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX L9462) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WI 49052-020) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 2007-00583) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: GA 059186) | |
| 208000000X Pediatrics (Licence: TX L9462) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: WI 49052-020) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: GA 059186) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: AL MD.28174) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: NC 2007-00583) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-03-06 |