| NPI | 1992996458 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 5101017269) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI L1865858) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2012020702) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MO 2012020702) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2023-11-27 |