| NPI | 1285636050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: OH 34-00-5041-V) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: OH 34-00-5041-V) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2019-05-08 |