NPI | 1376862417 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5101021418) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101021418) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.010962) | |
Enumeration Date | 2010-05-28 |
Last Update Date | 2024-10-28 |