| NPI | 1811125289 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: LA 202743) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD.202743) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX M9922) | |
| Enumeration Date | 2009-06-24 |
| Last Update Date | 2024-03-11 |