| NPI | 1114003480 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AR N-7808) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: AR N-7808) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-01-31 |