| NPI | 1346232691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME130058) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35076302) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35076302) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME130058) | |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2017-01-23 |