| NPI | 1912100850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX K3091) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K3091) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2022-08-25 |