| NPI | 1780641506 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 02006613A) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: AL DO1117) |
| 174400000X Specialist (Licence: GA 055142) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AL DO1117) | |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: AL DO1117) | |
| 174400000X Specialist (Licence: OH 34004503) | |
| 2084P2900X Psychiatry & Neurology Pain Medicine (Licence: AL DO1117) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-01-14 |