| NPI | 1184667453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 2015-01029) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WA MD00045748) |
| 207R00000X Internal Medicine (Licence: WA MD00045748) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2015-01029) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: NC 2015-01029) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2021-03-27 |