| 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 (Licence: TN 2045) | |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2020-04-25 |