| NPI | 1023036720 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CO 52200) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO R9J08) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO R9J08) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2018-10-26 |