| NPI | 1154419588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD60529112) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: FL ME106047) |
| 207R00000X Internal Medicine (Licence: WA MD60529112) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD60529112) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: FL ME106047) | |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2021-04-29 |