| NPI | 1861488041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 247185) |
| Additional Taxonomies | 2084N0600X (Licence: NY 247185) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 247185) | |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-02-21 |