| NPI | 1013262690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.144196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0079468) |
| 207R00000X Internal Medicine (Licence: KY 50515) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT201895) | |
| Enumeration Date | 2012-07-19 |
| Last Update Date | 2022-05-24 |