| NPI | 1114025830 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35090768) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 36376) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35090768) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2014-04-08 |