| NPI | 1306061551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NC 185517) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 34008947) |
| Enumeration Date | 2007-04-14 |
| Last Update Date | 2015-02-25 |