| 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 |