| NPI | 1134650930 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.143059) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.143059) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.143059) | |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2024-10-09 |