| NPI | 1669727582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.124382) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57019150) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.124382) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2018-03-17 |