| NPI | 1619099595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 33460) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 33460) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 2014000398) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2014000398) | |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2024-03-08 |