| NPI | 1932320439 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MO 2012018844) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: KS 04-33452) |
| 208100000X Physical Medicine & Rehabilitation (Licence: KS 0433452) | |
| 208D00000X General Practice (Licence: KS 0433452) | |
| 207R00000X Internal Medicine (Licence: MO 2012018844) | |
| 207R00000X Internal Medicine (Licence: KS 946398) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KS 0433452) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: KS 0433452) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-11-02 |