| NPI | 1508869116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX N6520) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IN 01057170A) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01057170A) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2021-10-12 |