| NPI | 1841415155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 32685) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: SC TL32685) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 57.008655) | |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2020-12-16 |