NPI | 1225286586 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD193424) |
Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60439611) |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60439611) | |
Enumeration Date | 2008-08-28 |
Last Update Date | 2025-04-17 |