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 |