| NPI | 1942205703 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MO 2014007843) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: KS 0427286) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MO 2014007843) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2017-11-17 |