| NPI | 1669053864 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036169187) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036.169187) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2026-06-10 |