| NPI | 1700083391 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A123312) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A123312) |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CA A123312) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2018-06-28 |