NPI | 1215223722 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.130116) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 51496) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 51496) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2022-10-12 |