| NPI | 1386835841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101243431) |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: VA 0101243431) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301082474) | |
| 2084N0600X (Licence: VA 0101243431) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101243431) | |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2022-11-30 |