| NPI | 1700835014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MT 5005) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MT 5005) |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: MT 5005) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2016-09-30 |