| NPI | 1770793457 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: GA 73431) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: LA MD.201011) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2015-02-20 |