NPI | 1013440221 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology Sleep Medicine (Licence: IL 036153157) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: VA 0101268531) |
207Q00000X Family Medicine (Licence: IL 036153157) | |
207QS1201X Family Medicine Sleep Medicine (Licence: IL 036153157) | |
Enumeration Date | 2017-04-05 |
Last Update Date | 2021-07-12 |