| NPI | 1053940965 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.150193) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.150193) |
| 208000000X Pediatrics (Licence: OH 35.150193) | |
| 207R00000X Internal Medicine (Licence: OH 35.150193) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2025-11-19 |