| NPI | 1477756757 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.094974) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.094974) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN 57614) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN 57614) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2021-04-30 |