| NPI | 1841464641 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 52764) |
| Additional Taxonomies | 2084N0600X (Licence: CT 52764) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CT 52764) | |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2014-06-28 |