| NPI | 1366444143 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MO R3B67) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: MO R3B67) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: KS 0420742) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: KS 0420742) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2017-11-16 |