| NPI | 1487854972 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-120425) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301089943) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-120425) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35-120425) | |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2021-10-13 |