NPI | 1174585608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 235504-1) |
Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NY 235504-1) |
2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NM 235504) | |
Enumeration Date | 2006-04-03 |
Last Update Date | 2018-01-18 |