| NPI | 1720161011 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 109177) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NC 200200197) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2022-02-10 |