| NPI | 1003844713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: WA MD00038476) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00038476) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00038476) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-12-11 |