| NPI | 1861456675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD046124L) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD046124L) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2021-01-19 |