| NPI | 1215930177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 173F00000X Sleep Specialist, PhD (Licence: ME MD18299) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: SD 4039) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: ME 018299) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: ME MD18299) | |
| 2084S0010X Psychiatry & Neurology Sports Medicine (Licence: ME MD18299) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: ME MD18299) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2019-12-09 |