| NPI | 1821513896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 36053) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 36053) |
| 207R00000X Internal Medicine (Licence: MI 4301112998) | |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2020-07-07 |