| NPI | 1316156193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C162715) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA 37380) |
| 207R00000X Internal Medicine (Licence: CA C162715) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IA 37380) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IA 37380) | |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2023-01-24 |