| NPI | 1295907566 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD60704014) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A118626) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2021-12-13 |