| NPI | 1962534693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35.087309) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35.087309) |
| 207R00000X Internal Medicine (Licence: OH 35.087309) | |
| 207R00000X Internal Medicine (Licence: IN 01063485) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2021-08-10 |