| NPI | 1104887413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34005079) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA OS008928L) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34005079) | |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2011-08-05 |