| NPI | 1518181106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.088787) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 44333) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2016-06-10 |