| NPI | 1366435463 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.092203) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MI PB044541) |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2023-11-29 |