| NPI | 1356333470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34004993) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34004993) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OH 34004993) | |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2021-04-06 |