NPI | 1972779411 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CA A121294) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A121294) |
2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: CA A121294) | |
Enumeration Date | 2008-05-05 |
Last Update Date | 2023-11-10 |