| NPI | 1336292085 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.088959) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.088959) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2016-12-15 |