| NPI | 1861418733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2008-00343) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: LA 11920R) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 2008-00343) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-12-20 |