| NPI | 1265594733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL MD.45826) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: AL MD.45826) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 159871) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 159871) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2025-04-08 |