| NPI | 1659548865 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A138106) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: CA A138106) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2024-02-02 |