| NPI | 1699733378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX K4930) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX K4930) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX K4930) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2023-09-12 |