| NPI | 1841302551 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 35.084931) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.084931) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 39296) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-08-14 |