| NPI | 1194754085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301051773) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301051773) |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-05-13 |