| NPI | 1609834290 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: OH 786) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35038013G) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2010-05-11 |