| NPI | 1396855359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35071843) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35071843) |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: OH 35-07-1843) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2014-10-10 |