| NPI | 1184638033 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 15909) |
| Additional Taxonomies | 208VP0000X (Licence: MS 15909) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MS 15909) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2025-06-18 |