NPI | 1750580981 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: LA MD.202313) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2006-00863) |
Enumeration Date | 2007-07-17 |
Last Update Date | 2009-03-17 |