| NPI | 1033290119 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX G6481) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX G6481) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX G6481) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2009-07-06 |