| NPI | 1528085412 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: TN 42309) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 102492) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 49063) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: TN 42309) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: GA 057255) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2019-03-15 |