| NPI | 1265482319 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.089546) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.089546) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 39129) | |
| 2086S0102X Surgery, Surgical Critical Care (Licence: OH 35.089546) | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2022-07-21 |