| NPI | 1700836962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2003028757) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 2003028757) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO 2003028757) | |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2024-11-19 |