| NPI | 1609071190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D0066772) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101240766) |
| 2084N0600X (Licence: VA 0101240766) | |
| 2084N0600X (Licence: MD D0066772) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101240766) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MD D0066772) | |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2025-06-26 |