| NPI | 1033198171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35081770) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 36319) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35081770) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 36319) | |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2018-03-17 |