| NPI | 1144545930 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.145563) | 
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 72090) | 
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A125406) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.145563) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 72090) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A125406) | |
| Enumeration Date | 2010-04-05 | 
| Last Update Date | 2022-09-20 |