NPI | 1154303592 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 39248) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN 39248) |
204R00000X Electrodiagnostic Medicine (Licence: TN 39248) | |
Enumeration Date | 2005-11-18 |
Last Update Date | 2025-03-05 |