| NPI | 1124069737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.061393) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD072064L) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD072064L) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35-061393) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2012-11-06 |