| NPI | 1275574592 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 31143-020) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: WI 31143-20) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2012-05-15 |