| NPI | 1841555935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 31330) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: RI LP02652) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 31330) | |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2018-06-15 |