| NPI | 1780798652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: NC 200200876) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NC 200200876) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-10-25 |