| NPI | 1487676441 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2001026583) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-25729) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2001026583) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-25729) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2007-07-08 |