| NPI | 1346621604 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35C.001109) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 55277) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO CDR.0001550) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IL 036159601) | |
| 207R00000X Internal Medicine (Licence: NE 7471) | |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2024-05-15 |