| NPI | 1629276142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34-010071-EFF 7-1-13) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34.010071) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34-010071 EFF 7-1-13) | |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2024-07-22 |