| NPI | 1205994852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0101243759) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.012644) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD468355) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD468355) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2023-11-29 |