NPI | 1740415686 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CA A144380) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME113707) |
2084N0400X Psychiatry & Neurology Neurology (Licence: NY 250505) | |
2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: FL ME113707) | |
Enumeration Date | 2009-05-21 |
Last Update Date | 2019-09-04 |