NPI | 1053685107 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61169747) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA BC61190205) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA BC61190205) | |
Enumeration Date | 2012-03-06 |
Last Update Date | 2024-02-01 |