| NPI | 1437481793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.121422) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD462474) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.121422) | |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2020-06-30 |