NPI | 1548465198 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: GA 065880) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: GA 065880) |
Enumeration Date | 2007-06-15 |
Last Update Date | 2023-01-14 |