| NPI | 1811106529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.091321) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57009963) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2013-04-19 |