| NPI | 1992943658 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX Q3741) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: TX Q3741) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WV 24594) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: VA 0101258929) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX Q3741) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: 233251) | |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2022-12-30 |