NPI | 1811146152 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD60432697) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 125052241) |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60432697) | |
Enumeration Date | 2008-09-11 |
Last Update Date | 2014-04-11 |