NPI | 1023558376 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 173F00000X Sleep Specialist, PhD |
Additional Taxonomies | 204R00000X Electrodiagnostic Medicine (Licence: IL 2045) |
2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: TN 2045) | |
Enumeration Date | 2017-03-06 |
Last Update Date | 2020-04-25 |