| NPI | 1780772632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-094125) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD D0065050) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MD D0065050) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD D0065050) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35-094125) | |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2011-06-28 |