| NPI | 1144673260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.148688) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI 4301507499) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2024-06-17 |