| NPI | 1992851281 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD428482) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD428482) |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2007-07-08 |