NPI | 1679550503 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IA MD-29557) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IA MD-29557) |
Enumeration Date | 2005-12-30 |
Last Update Date | 2022-02-17 |