| NPI | 1477592335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X (Licence: PA MD461584) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD461584) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-07-21 |