| NPI | 1609868553 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: IL 036-096329) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: IL 036-096329) |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-09-16 |