| NPI | 1154303592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN MD39248) |
| Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: TN MD39248) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN MD39248) | |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2022-03-14 |