| NPI | 1124163613 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-086682) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.086682) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-086682) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35-086682) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-01-18 |