| NPI | 1548200777 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD482308) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 17400) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 3110) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2024-10-18 |