| NPI | 1316077266 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 34.017979) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: DE C70003471) |
| 207R00000X Internal Medicine (Licence: DE C7-0003471) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 34.017979) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2025-08-08 |