| NPI | 1801107255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: FL ME110419) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: NE 6202) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME 110419) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: AL MD.31021) | |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD440746) | |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2015-10-05 |