| NPI | 1609862648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD030662E) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD0332662E) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD0332662E) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2017-04-28 |