| NPI | 1326051632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35030113G) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35030113G) |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2010-02-18 |