| NPI | 1194810408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MS 21147) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 28786) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MS 21147) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-10-08 |