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 |