| NPI | 1962524975 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA09591000) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 2005-01588) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME 108915) | |
| 2084N0600X (Licence: PA MD430879) | |
| 2084N0600X (Licence: NC 2005-01588) | |
| 2084N0600X (Licence: NJ 25MA09591000) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MA09591000) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NC 200501588) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD430879) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2022-02-09 |