| NPI | 1083633341 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301073017) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 26513) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301073017) | |
| 2084N0600X (Licence: MI 4301073017) | |
| 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301073017) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-05-02 |