| NPI | 1316961006 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-27474) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 106014) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 106014) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-27474) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-12-09 |