| NPI | 1336229459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD025521E) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD025521E) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MA09769300) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2015-12-14 |