| NPI | 1801884523 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C54773) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA C54773) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: OH 35057785) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA C54773) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35057785) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-11-18 |