| NPI | 1821443359 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.135612) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57.028478) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.135612) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2024-06-13 |