| NPI | 1912999764 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA C34642) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA C34642) |
| 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CA C34642) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA C34642) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CA C34642) | |
| 202C00000X Independent Medical Examiner (Licence: CA C34642) | |
| 2080S0012X Pediatrics, Sleep Medicine (Licence: CA C34642) | |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2009-04-30 |