| NPI | 1235319500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA C167024) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35089734) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.089734) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA C167024) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.089734) | |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2022-09-28 |