| NPI | 1770999559 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.133890) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.133890) |
| 207R00000X Internal Medicine (Licence: MO 2018008645) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.133890) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2018008645) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2018008645) | |
| 208000000X Pediatrics (Licence: MO 2018008645) | |
| 208000000X Pediatrics (Licence: OH 35.133890) | |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2022-05-06 |