| NPI | 1235591702 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX R9636) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TX R9636) |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2021-09-01 |