| NPI | 1215350160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD481899) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: WI 6357) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN 64991) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2023-08-04 |