| NPI | 1558771410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 65552) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A139312) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: AZ 65552) | |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2023-07-31 |