| NPI | 1265491724 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OK 18909) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 18909) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: TX M0337) | |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2014-09-26 |