NPI | 1285643163 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.079253) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301086748) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2025-08-25 |