NPI | 1205004249 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MN 49503) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 49503) |
Enumeration Date | 2008-02-12 |
Last Update Date | 2023-08-07 |