| NPI | 1346734589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: AZ 68108) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 66460) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MN 66460) | |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2024-01-11 |