| NPI | 1447279823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35.078641) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: OH 35.078641) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.078641) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.078641) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2025-10-02 |