| NPI | 1245613827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KY 59866) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 59866) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101272056) | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2025-01-13 |