| NPI | 1255074704 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036181890) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036181890) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MI 2552150233) | |
| Enumeration Date | 2022-04-13 |
| Last Update Date | 2026-08-26 |