| NPI | 1841376423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD153945) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 35.087903) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2013-05-02 |