| NPI | 1285767301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.095680) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301083644) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2011-11-23 |