| NPI | 1831415637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.120851) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01100202A) |
| 207R00000X Internal Medicine (Licence: MI 4301108174) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 01100202A) | |
| 207R00000X Internal Medicine (Licence: MD D85059) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.120851) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2026-05-27 |