| NPI | 1992752752 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35-048665) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: OH 048665) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2015-08-14 |