NPI | 1740449495 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34-009596) |
Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: VA 0102202632) |
Enumeration Date | 2008-06-07 |
Last Update Date | 2022-07-21 |