| NPI | 1013397488 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61252858) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61252858) |
| 207R00000X Internal Medicine (Licence: MA 263235) | |
| 207R00000X Internal Medicine (Licence: WA MD61252858) | |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2022-06-27 |