| NPI | 1649249848 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA OS012724) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA OS012724) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA OP60886046) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: WA OP60886046) | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: WA OP60886046) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-06 |