| NPI | 1790777076 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TX G4909) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX G4909) |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2012-02-16 |