NPI | 1184117426 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 39167) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: SC 52608) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 39167) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2022-05-09 |