| NPI | 1821060682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: FL ME94218) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: FL ME94218) |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2023-11-10 |