| NPI | 1508869454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-065732) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-065732) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35-065732) | |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2011-01-05 |