| NPI | 1871607614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35069857) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KY 24636) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35069857) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 24636) | |
| 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: OH 35069857) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2022-03-08 |