| NPI | 1386087807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MA 283366) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: PA MD464012) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD464012) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MA 283366) | |
| Enumeration Date | 2013-04-15 |
| Last Update Date | 2020-06-13 |