| 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 | 2024-03-05 |