| NPI | 1215050117 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: TN MD0000043153) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2007-00938) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: SC 30216) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN 43153) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 054325) | |
| Enumeration Date | 2007-04-08 |
| Last Update Date | 2018-03-20 |