| NPI | 1518084631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MB08330900) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: MI 5101016999) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MB08330900) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2014-03-26 |