| NPI | 1427497791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.129091) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MO 2013018168) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2020-09-10 |