| NPI | 1447748397 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 70346) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.245769) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2023-08-16 |