| NPI | 1720095482 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: ND 10362) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: ND 10362) |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2022-03-25 |