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 |