| NPI | 1568502136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 0431507) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NM MD2023-1334) |
| 207R00000X Internal Medicine (Licence: KS 0431507) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0431507) | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2023-12-13 |