| NPI | 1932369980 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101253362) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09058800) |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: VA 0101253362) | |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA09058800) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: VA 0101253362) | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2014-11-14 |