NPI | 1962664011 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD60704069) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA MD60704069) |
2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60704069) | |
Enumeration Date | 2008-06-30 |
Last Update Date | 2017-04-10 |