| NPI | 1013164342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD448144) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MD MD448144) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: ND 10903) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD-448144) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2024-09-11 |