NPI | 1942565841 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35.149489) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301101057) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: IL 036138396) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 51618) | |
Enumeration Date | 2012-07-08 |
Last Update Date | 2023-12-14 |