| NPI | 1730264037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 35068) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35057677) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: OH 35057677) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35057677) | |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2022-07-21 |