| NPI | 1851313688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35047929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NJ 25MA04292000) |
| 207R00000X Internal Medicine (Licence: OH 35047929) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2023-10-16 |