| NPI | 1497727739 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 080189) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.086587) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.086587) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-06-27 |