| NPI | 1679884704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO 2014023578) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 7461) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014023578) | |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-11-05 |