| NPI | 1902125057 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301096305) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35.139658) |
| Enumeration Date | 2010-05-27 |
| Last Update Date | 2024-07-15 |