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 |