| NPI | 1942459680 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NY 270353) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 251337) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 60270353) | |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2020-04-02 |