| NPI | 1912984139 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: ID O-2000) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: MO 2004001463) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: WA OP0002274) | |
| Enumeration Date | 2005-12-29 |
| Last Update Date | 2024-05-17 |