| NPI | 1366564304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 25636) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125047898) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 25636) | |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2014-05-01 |