NPI | 1023579091 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101284334) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: VA 0101284334) |
Enumeration Date | 2019-03-30 |
Last Update Date | 2025-04-21 |