| 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 |