| NPI | 1275514606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA 23942) |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: IA MD-23942) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IA MD-23942) | |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2022-01-11 |