| NPI | 1972773935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NJ 25MA08498800) |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: NJ 25MA08498800) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: NJ 25MA08498800) | |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2022-01-05 |