| NPI | 1225079551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: PA MD433987) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NJ 25MA07906200) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301075806) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: MI 4301075806) | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-03-20 |