| NPI | 1104085000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.094638) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.094638) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.094638) | |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2013-04-02 |