| NPI | 1700843695 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: UT 173564-1205) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: UT 173564-1205) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: WY 7014A) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2008-02-15 |