| NPI | 1962548859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: GA 075621) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2007-01777) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO 2002010042) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2022-01-10 |