| NPI | 1386102960 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036158781) |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2022-10-13 |