| NPI | 1104034453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: SC 87659) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS014008) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA OP 60561413) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA OP 60561413) | |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-08-15 |