NPI | 1598946527 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-092883) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301103137) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-092883) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301103137) | |
Enumeration Date | 2007-11-19 |
Last Update Date | 2019-09-16 |