| NPI | 1326200387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-126941) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 261875) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-12-31 |