| NPI | 1952598955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MD MD D0066220) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MD MD D0066220) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2008-08-15 |