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 Psychiatry & Neurology, Clinical Neurophysiology (Licence: MN 40591) | |
Enumeration Date | 2006-03-09 |
Last Update Date | 2020-11-30 |