| NPI | 1649434804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TX T3131) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.097427) |
| 207R00000X Internal Medicine (Licence: MO 2008009085) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SD 10258) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2023-08-10 |