| NPI | 1891142402 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.136425) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.136425) |
| 207R00000X Internal Medicine (Licence: MA 267303) | |
| Enumeration Date | 2016-05-24 |
| Last Update Date | 2022-06-30 |