NPI | 1053319400 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 12363) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: SC 12363) |
Enumeration Date | 2005-07-11 |
Last Update Date | 2013-12-04 |