| NPI | 1679578538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA 20A4876) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA 20A4876) |
| 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine (Licence: CA 20A4876) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA 20A4876) | |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2015-06-16 |