| NPI | 1922122035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: FL ME105000) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: FL ME105000) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: KS 04-32200) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2016-11-10 |