| NPI | 1336280023 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NV 16655) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD051305L) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: PA MD051305L) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD051305L) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2016-11-22 |