NPI | 1174971113 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 32363) |
Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OK 32363) |
Enumeration Date | 2016-06-01 |
Last Update Date | 2023-07-03 |