| NPI | 1083108609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MI 4301504014) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 4301504014) |
| 207R00000X Internal Medicine (Licence: MI 4301114562) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 4301504014) | |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2026-06-16 |