| NPI | 1346218146 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CT 044776) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 206245) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 044776) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 206245) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-09-10 |