| NPI | 1659434355 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.071097) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.071097) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2013-02-28 |