| NPI | 1760459614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: HI 20809) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 217519) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 041022) | |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2021-09-10 |