| NPI | 1871932806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0116026092) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: OH 34.012502) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2024-06-25 |