NPI | 1063434249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: TX 24910) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 24910) |
Enumeration Date | 2006-07-24 |
Last Update Date | 2011-09-22 |