| NPI | 1689720443 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 25470) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OK APMD25470) |
| 207R00000X Internal Medicine (Licence: PA MT181973) | |
| 207R00000X Internal Medicine (Licence: MO 2007023610) | |
| 208M00000X Hospitalist (Licence: MO 2007023610) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 25470) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2016-07-13 |