| NPI | 1386792307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME117836) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 37156) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD60603804) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301091617) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO DR.0057012) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2022-06-02 |