| NPI | 1508866971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.004756) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 34.004756) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 34.004756) | |
| 208D00000X General Practice (Licence: OH 34-00-4756) | |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2017-11-27 |