| NPI | 1629233861 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 257520) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: MN 104326) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 52196) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: MN 104326) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME98936) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NY 257520) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2022-09-13 |