| NPI | 1922738400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2026037403) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2022021003) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MO 2025022360) | |
| Enumeration Date | 2022-06-16 |
| Last Update Date | 2026-08-26 |