| NPI | 1407829757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207QS1201X Family Medicine, Sleep Medicine (Licence: OH 35.048885) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35048885) |
| Enumeration Date | 2006-02-08 |
| Last Update Date | 2024-01-29 |