| NPI | 1629399035 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-127721) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MT196339) |
| 207R00000X Internal Medicine (Licence: PA MD449218) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-127721) | |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2022-04-06 |