| NPI | 1972635803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IL 036-099905) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: IL 036-099905) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2012-06-27 |