NPI | 1245232727 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WV 10092) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35037384) |
2084N0400X Psychiatry & Neurology Neurology (Licence: OH 37384) | |
2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: WV 10092) | |
2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: OH 37384) | |
Enumeration Date | 2005-08-15 |
Last Update Date | 2022-04-18 |