| NPI | 1215175856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA C54396) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX N1706) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N1706) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C54396) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2024-04-30 |