| NPI | 1538600754 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 81144) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 94-09289) |
| 207R00000X Internal Medicine (Licence: KS 94-09289) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WI 81144) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2023-09-08 |