| NPI | 1306293725 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036160184) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036160184) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036.160184) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2022-06-28 |