| NPI | 1083663785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D90381) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD420076) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD420076) | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-11-17 |