| NPI | 1124213251 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OR MD161142) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A107251) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD60325845) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2015-05-28 |