| NPI | 1417148610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME99352) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME99352) |
| 2084P0301X Psychiatry & Neurology, Brain Injury Medicine (Licence: FL ME99352) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2019-12-31 |