| NPI | 1316575269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.165572) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.016075) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036.165572) | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2023-07-30 |