| NPI | 1598716201 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 51166) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 087188) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: GA 075298) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 087188) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-04-19 |