| NPI | 1780656751 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 200400988) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NC 200400988) |
| 2084V0102X Psychiatry & Neurology Vascular Neurology (Licence: NC 200400988) | |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2024-07-15 |