| NPI | 1700182714 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.155385) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 45633) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2026-05-18 |