| NPI | 1194981365 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.098780) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.098780) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301100075) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-01-16 |