| NPI | 1568881639 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: GA 88213) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.127769) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.127769) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.127769) | |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2021-07-30 |