| NPI | 1487775433 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NM MD2015-0814) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301088510) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NM MD2015-0814) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2015-10-29 |