| NPI | 1104916782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 38894) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IN 01093253A) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 38894) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CO DR.0038805) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO 38805) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CO DR.0038805) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2024-05-23 |