| NPI | 1699771527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35062048M) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WV 21439) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD421673) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 186554-1) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 55696) | |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2021-03-26 |