| NPI | 1588741102 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: MI 6301012680) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6301012680) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2024-03-04 |