NPI | 1063604064 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.099841) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099841) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: AR E5665) | |
207R00000X Internal Medicine (Licence: AR E5665) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AR E5665) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.099841) | |
Enumeration Date | 2007-08-14 |
Last Update Date | 2022-03-31 |