| NPI | 1851556096 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2013-00316) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME99393) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 243318) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2013-00316) | |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2020-06-15 |