| NPI | 1053547968 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A144626) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61245229) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CA A144626) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61245229) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2022-09-21 |