| NPI | 1619996097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MD D69620) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD426094) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MD D69620) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2013-01-05 |