| NPI | 1861649527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: GA 87726) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: TX M8101) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: TX M8101) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: TX M8101) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2021-12-17 |