| NPI | 1578528956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX M7822) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35-07-7327) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-07-7327) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX 42012) | |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2009-02-09 |