| NPI | 1063400232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35043358) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: OH 35043358) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2025-02-26 |