| NPI | 1285798447 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ME 018527) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: ME MD18527) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2024-03-27 |