| NPI | 1649476185 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D79356) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 51988-20) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MD D79356) | |
| 207R00000X Internal Medicine (Licence: MD D79356) | |
| 207R00000X Internal Medicine (Licence: PA MD463354) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD463354) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD463354) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WI 51988-20) | |
| 207R00000X Internal Medicine (Licence: WI 51988-20) | |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2026-01-07 |