| NPI | 1144464496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60629767) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD157002) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60629767) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2016-06-10 |