| NPI | 1285600296 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301076835) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301076835) |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: MI 5315052553) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2013-08-23 |