| NPI | 1457883563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 64143) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 64143) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 28974) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2022-06-30 |