| NPI | 1689674590 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 05722R) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: LA 05722r) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2025-09-11 |