| NPI | 1740600279 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.149455) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD458233) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2024-06-11 |