NPI | 1538156369 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 67996-20) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IN 01064085A) |
Enumeration Date | 2005-10-06 |
Last Update Date | 2019-10-22 |