| 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 |