| NPI | 1972599439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME67462) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME67462) |
| 2084D0003X Psychiatry & Neurology, Diagnostic Neuroimaging (Licence: FL ME67462) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: FL ME67462) | |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-06-27 |