| NPI | 1629211891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GU M-1847) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OR 161576) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OR 161576) | |
| Enumeration Date | 2009-04-17 |
| Last Update Date | 2015-02-16 |