| NPI | 1760551170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NY 213851) |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology Behavioral Neurology & Neuropsychiatry (Licence: TX Q6222) |
| 2084N0008X Psychiatry & Neurology Neuromuscular Medicine (Licence: NY 213851-1) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: TX Q6222) | |
| 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NY 213851-1) | |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2019-03-18 |