| 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 |