| NPI | 1619192291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-34217) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP008845) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 04-34217) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2023-11-02 |