| NPI | 1093751398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 103956) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.071115) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AZ 70625) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35-071115) | |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2025-07-17 |