| NPI | 1184672701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME94612) |
| Additional Taxonomies | 2084N0600X (Licence: FL ME94612) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME94612) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-03-26 |