| NPI | 1144220450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN 44067) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD44067) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA0447800) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-03-15 |