| NPI | 1780823211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35130666) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036.137868) |
| 207R00000X Internal Medicine (Licence: CT 052518) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA MD-42511) | |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2019-11-12 |