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 |