| NPI | 1679578256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101230740) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 246145) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MA 246145) | |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2020-09-14 |