| NPI | 1144214818 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.071194) |
| Additional Taxonomies | 174400000X Specialist (Licence: OH OH35-07-1194G) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2025-03-31 |