| NPI | 1720203417 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.090654) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN MD46489) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD0000046489) | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2021-02-24 |