| NPI | 1881610004 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 04-42481) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 106692) |
| 207R00000X Internal Medicine (Licence: MO 106692) | |
| 207R00000X Internal Medicine (Licence: KS 04-42481) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 106692) | |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2022-11-08 |