| NPI | 1114029550 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD437980) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301077270) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301077270) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD437980) | |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2019-03-04 |