| NPI | 1437361870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 49932) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 60-238210) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CT 49932) | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2016-03-30 |