| NPI | 1982018198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: ND 14750) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: ND 14750) |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: MN 65583) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MN 65583) | |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2022-04-29 |