| NPI | 1982995395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME150847) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35-129794) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35-129794) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME127545) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2021-11-19 |