| NPI | 1912092156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: TX K 0137) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX k0137) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2015-08-31 |