| NPI | 1598703761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35085185) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: KY 39320) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35085185) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2015-08-14 |