| NPI | 1730508862 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NH R4705) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX S3805) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NH 39132) | |
| Enumeration Date | 2014-04-16 |
| Last Update Date | 2026-06-26 |