| NPI | 1366588295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 52202) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 4292) |
| 207R00000X Internal Medicine (Licence: MN 104566) | |
| 207R00000X Internal Medicine (Licence: MN 52202) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MN 52202) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 4292) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 4292) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2015-11-19 |