| NPI | 1275545196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101238282) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101238282) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2024-09-23 |