| NPI | 1265430979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.06239) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-06-0239-M) |
| 208000000X Pediatrics (Licence: OH 35.06239) | |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-07-31 |