| NPI | 1366882706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MN 59632) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 59632) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 272505) | |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2020-08-21 |