| NPI | 1952458812 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WA MD60345527) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: WA MD60345527) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-03-02 |