| NPI | 1891909586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101248318) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301093961) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: VA 0116017485) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2010-09-29 |