| NPI | 1114205838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 35.C000357) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: IA MD-44640) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IA MD-44640) | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2023-03-24 |