| NPI | 1649653916 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: AZ 67173) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 036-147930) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: FL ME136730) | |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2023-05-02 |