| NPI | 1003093949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101252035) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.011447) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101252035) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2012-08-01 |