| NPI | 1548846256 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.017751) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.077809) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2025-07-02 |