| NPI | 1609877158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NY 220740) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 220740) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NY 220740) | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2012-06-08 |