| NPI | 1730532763 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35.150484) |
| Additional Taxonomies | 2080S0012X Pediatrics, Sleep Medicine (Licence: MO 2023011345) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-08-12 |