| NPI | 1649272303 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 11173) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35045546) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 45546) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 45546) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WV 11173) | |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2022-04-18 |