| NPI | 1356751994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX R8282) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX R8282) |
| 283Q00000X Psychiatric Hospital (Licence: TX BP10050875) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2024-09-23 |