| NPI | 1225086366 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AL 00015508) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 057759) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME71698) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: AL 00015508) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: GA 057759) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: FL ME71698) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: GA 57759) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: AL 15508) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |