| NPI | 1316035058 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX L7608) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TX L7608) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: LA MD.024676) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2019-03-04 |