| NPI | 1982792354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA MD439625) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME108699) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC LL25631) | |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD439625) | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD439625) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-11-07 |