| NPI | 1013929132 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD60142525) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD60142525) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 229751) | |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2021-03-01 |