| NPI | 1245437722 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 5300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 34-009344) |
| 207R00000X Internal Medicine (Licence: OK 5300) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 5300) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2023-03-13 |