| NPI | 1679069173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MA 1015763) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 1015763) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MI 4301506659) | |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2023-08-01 |