| NPI | 1598061624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA G37044) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA G37044) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA G37044) | |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2016-06-03 |