| NPI | 1265635452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology, Sleep Medicine (Licence: CA A98812) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: CA A98812) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A98812) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME95925) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A98812) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2024-04-28 |