| NPI | 1972827335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 02005444A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34. 010939) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 34.010939) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IN 02005444A) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2022-05-19 |