| NPI | 1669604450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OK 27085) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK 27085) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OK 27085) | |
| Enumeration Date | 2009-08-13 |
| Last Update Date | 2024-03-08 |