| NPI | 1083115661 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 178.013680) |
| Additional Taxonomies | 173F00000X Sleep Specialist, PhD |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2023-01-19 |