| NPI | 1982868196 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-130279) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301091760) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-130279) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301091760) | |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2022-07-21 |