| NPI | 1407115181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35139972) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: OR MD176686) |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2021-05-04 |