| NPI | 1336183060 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: KS 0427325) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: KS 0427325) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2016-12-05 |