| NPI | 1568666352 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101254897) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.097805) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2012-01033) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2012-01033) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35.097805) | |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2019-03-25 |