| NPI | 1639284284 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.090338) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A78352) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.090338) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A78352) | |
| 207R00000X Internal Medicine (Licence: CA A78352) | |
| 207R00000X Internal Medicine (Licence: OH 35.090338) | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2021-12-01 |