| NPI | 1851451256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME45193) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME45193) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME045193) | |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2021-02-11 |