| NPI | 1295964997 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-096245) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.096245) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2016-07-06 |