NPI | 1659945947 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 5101028048) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 5151014919) |
Enumeration Date | 2021-05-19 |
Last Update Date | 2025-04-06 |