| NPI | 1376741330 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX Q7055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NM RS20070418) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2011-0069) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX Q7055) | |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2020-08-04 |