| NPI | 1619059524 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35137302) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35137302) |
| 207R00000X Internal Medicine (Licence: MI 4301077620) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301077620) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301077620) | |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2021-03-19 |