| NPI | 1942237045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: ID M-7678) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: ID M7678) |
| 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: ID M-7678) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2015-05-12 |