| NPI | 1013232560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60672272) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60672272) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD451435) | |
| Enumeration Date | 2010-03-27 |
| Last Update Date | 2021-03-01 |