| NPI | 1689632937 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 28468) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1350-TEP) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 28468) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2014-05-20 |