| NPI | 1265799126 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD457965) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 293522) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD457965) | |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2020-08-30 |