| NPI | 1689995870 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A129454) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL TRN15244) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A129454) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2024-04-30 |