| NPI | 1710119532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 126516) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 126516) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 126516) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2015-08-13 |