| NPI | 1790178192 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 5151012379) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.012497) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 5101023744) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 34.012497) | |
| 207R00000X Internal Medicine (Licence: OH 012497) | |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2025-11-04 |