NPI | 1578573705 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IL 036062303) |
Additional Taxonomies | 208000000X Pediatrics (Licence: IL 036062303) |
Enumeration Date | 2006-08-09 |
Last Update Date | 2015-03-13 |