| NPI | 1821039637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 059121) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MI 4301088018) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: GA 059121) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2023-03-07 |