| NPI | 1124101621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: UT 293990-1205) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: OR MD26606) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD00046412) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OR MD26606) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD00046412) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: UT 293990-1205) | |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2009-01-21 |