| NPI | 1811145527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301501831) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: TN MD47463) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD437155) | |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2022-02-09 |