NPI | 1558584391 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036071671) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 336035459) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2022-01-24 |