| NPI | 1780847632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.098822) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.098822) |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2021-02-26 |