| NPI | 1376602144 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TX K9573) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TX K9573) |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TX K9573) | |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: TX K9573) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-09-28 |