| NPI | 1215006663 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 277952) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 277952) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MA 277952) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2023-04-17 |