| NPI | 1164472346 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A74331) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.087634) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.087634) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A74331) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2011-09-07 |