| NPI | 1902280415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.142371) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.142371) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: OH 35.142371) | |
| Enumeration Date | 2015-07-14 |
| Last Update Date | 2022-08-08 |