| NPI | 1164589719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036-114932) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036114932) |
| 208000000X Pediatrics (Licence: IL 036114932) | |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2022-04-19 |