| NPI | 1902911381 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: CA 448) | 
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CA A36573) | 
| Enumeration Date | 2006-08-19 | 
| Last Update Date | 2021-01-19 |