| NPI | 1568425494 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34011122) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 34.011122) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2017-02-02 |