| NPI | 1578669305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35043346R) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 43346) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2021-01-14 |