| NPI | 1609979871 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA C54071) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: KY 37423) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD431660) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD431660) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA C54071) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: KY 37423) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA C54071) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 37423) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD431660) | |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2023-06-08 |