| NPI | 1164493854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036125979) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: VT 42-0010962) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NH 13059) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IL 036125979) | |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2015-04-15 |