| NPI | 1235150624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 200501318) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 01318) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 200501318) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-01-31 |