| NPI | 1649266297 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 28909) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 28909) |
| 207R00000X Internal Medicine (Licence: MO 167729) | |
| 207R00000X Internal Medicine (Licence: OK 28909) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MO 167729) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 28909) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 167729) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MD 2000167729) | |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2024-10-18 |