| NPI | 1235115361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: WA MD61038859) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MA 216805) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: MA 216805) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: MA 216805) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2023-10-12 |