| NPI | 1093828634 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD173777) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35059362) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35059362) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2015-09-21 |