| NPI | 1942493747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OK 26190) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: IA 39292) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: IA 39292) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OK 26190) | |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2014-11-18 |