NPI | 1952428070 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD445233) |
Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA MD445233) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2021-04-28 |