| NPI | 1407809122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: GA 77783) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: GA 77783) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: GA 77783) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2022-07-21 |