| NPI | 1912320425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301114307) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301114307) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2020-02-05 |