| NPI | 1821016452 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A78083) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: CA A78083) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A78083) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2019-08-14 |