| 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 |