| NPI | 1053699876 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101274386) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: DC MD045226) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: DC MD045226) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101274386) | |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2024-01-25 |