| NPI | 1366544603 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MS 15267) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MS 15267) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: MS 15267) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2013-07-08 |