| NPI | 1124025135 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01048980A) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME129295) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: ME MD19031) | |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2024-05-08 |