| NPI | 1568400356 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S7409) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 260870-1) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NY 260870-1) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 260870-1) | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-01-13 |