| NPI | 1477889798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.138224) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MN 56947) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: MN 56947) | |
| Enumeration Date | 2009-10-21 |
| Last Update Date | 2020-06-04 |