| NPI | 1528044609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 22887) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35127927) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35127927) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35127927) | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2024-01-31 |