| NPI | 1932246915 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: CA C152420) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OH 35.094167) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OH 35.094167) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: CA C152420) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2021-11-17 |