| NPI | 1124291000 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX S1444) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TX S1444) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34-009982) | |
| 207R00000X Internal Medicine (Licence: OH 34009982) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34-009982) | |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2020-10-05 |