| NPI | 1205813946 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 18894) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-07-8424) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35-07-8424) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WV 18894) | |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2022-09-19 |