| NPI | 1487852919 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME146627) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35C.000453) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME146627) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NM MD2014-0817) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: GA 95205) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35C.000453) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2023-12-11 |