| NPI | 1083695886 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35062875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 35062875) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35062875) | |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2013-12-17 |