| NPI | 1083682561 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 40591) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 40591) |
| 2084N0600X (Licence: MN 40591) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-11-30 |