| NPI | 1013132323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA MD204763) |
| Additional Taxonomies | 174400000X Specialist |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: LA MD.204763) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2022-03-30 |