| NPI | 1083654826 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL 12349) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN DO1145) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN DO1145) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2016-12-20 |