| NPI | 1609857788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA C53033) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD60101049) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-04-14 |