| NPI | 1760466692 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.063622) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: OH 35063622) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35063622) | |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2024-03-25 |