NPI | 1255323895 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0034908) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35072508) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0034908) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35072508) | |
Enumeration Date | 2005-08-19 |
Last Update Date | 2025-08-04 |