| NPI | 1508842584 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR DO166997) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 44656) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MN 44656) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: MN 44656) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MN 44656) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2017-02-20 |