| NPI | 1093796294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: OH 35042855) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35042855) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35042855) | |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2022-05-20 |