| NPI | 1316941065 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NC 9500902) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: NC 9500902) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NC 9500902) | |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2018-02-20 |