| NPI | 1942247986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MN 41787) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 43337) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: MN 41787) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2022-05-17 |