| NPI | 1275610719 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 29223) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: KY 29223) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-06-07 |