| NPI | 1598717894 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 02968) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KY TP048) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 02968) | |
| 207P00000X Emergency Medicine (Licence: KY 02968) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34009306) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2021-01-22 |