| NPI | 1740445766 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME123417) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.099230) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.099230) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.099230) | |
| Enumeration Date | 2008-07-20 |
| Last Update Date | 2015-08-12 |