| NPI | 1043504129 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.149324) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 078942) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101252357) | |
| 207R00000X Internal Medicine (Licence: VA 0101252357) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: VA 0101252357) | |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2024-05-21 |