| NPI | 1225141823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OR MD18493) |
| Additional Taxonomies | 174400000X Specialist (Licence: OR OR MD18493) |
| 174400000X Specialist (Licence: WA WA MD00035294) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-03-10 |