NPI | 1447291760 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: KY 22763) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: KY 22763) |
174400000X Specialist (Licence: KY 22763) | |
Enumeration Date | 2006-06-09 |
Last Update Date | 2016-04-12 |