| NPI | 1205192838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME154909) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD477727) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 56033) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35.144545) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MT 107886) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 22387) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN 56033) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2024-05-22 |