| NPI | 1093748311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 11932R) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: LA MD.11932R) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA MD.11932R) | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2024-06-11 |