| NPI | 1730589250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: NY 022259) |
| Additional Taxonomies | 173F00000X Sleep Specialist, PhD |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2021-06-29 |