| NPI | 1982714499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 002654) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 002654) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-08-21 |