| NPI | 1194721993 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-053501) |
| Additional Taxonomies | 174400000X Specialist |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-053501) | |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2016-12-22 |