NPI | 1689895534 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2006001558) |
Additional Taxonomies | 174400000X Specialist (Licence: MO 2006001558) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO 2006001558) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2025-02-13 |