| NPI | 1598859852 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME145488) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35079075) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH OH35079075) | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-04-19 |