| NPI | 1609986108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR MD27223) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA MD00044684) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OR MD27223) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: AL 00027060) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA MD00044684) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2016-03-09 |