| NPI | 1679708754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2010-01780) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2010-01780) |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2021-04-01 |