| NPI | 1750447157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35126985) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: IL 036128104) |
| 207R00000X Internal Medicine (Licence: PA MT181400) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2022-08-09 |