| NPI | 1245270982 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA OS002111L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS002111L) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MB01993900) | |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-11-21 |