| NPI | 1003085192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A43730) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: CA A43730) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD00025709) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: ID M9024) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: CA A43730) | |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2023-03-11 |