| NPI | 1154323160 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: KS 0424612) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 0424612) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: KS 0424612) | |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2013-08-12 |