| NPI | 1225096118 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NY 246098) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34008557) |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2007-10-15 |