| 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 |