| NPI | 1023453180 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301111938) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MI 4301111938) |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2018-01-17 |