| NPI | 1326229733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL 126944) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 57.007160) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 42818) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AL 31970) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL 126944) | |
| 207R00000X Internal Medicine (Licence: FL 126944) | |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2016-06-18 |