| NPI | 1104117936 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-45527) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IA MD-45527) |
| 207R00000X Internal Medicine (Licence: OH 35.123749) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.123749) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA MD-45527) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.123749) | |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2020-11-11 |