| NPI | 1063502912 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M0740) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX M0740) |
| 2084N0600X (Licence: TX M0740) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-09-28 |