| NPI | 1619134780 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35096649) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35096649) |
| 207R00000X Internal Medicine (Licence: VA 0101248182) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME118154) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME118154) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2022-06-15 |