| NPI | 1689649923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI MA0163026) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 4301063026) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2019-04-29 |