| NPI | 1598721029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2024-03575) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NM MD2006-0188) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD61620696) | |
| 2084N0600X (Licence: NM Md2006-0188) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NM MD2006-0188) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD221179) | |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2025-10-17 |