| NPI | 1184280794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IL 036-171313) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: OH 35.149127) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2025-09-16 |