| NPI | 1871519124 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036104101) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-104101) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2026-03-03 |