| NPI | 1053403329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 34011205) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.011205) |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2022-11-02 |