| NPI | 1881715084 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA C154257) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C154257) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 238735) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-04-29 |