| 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 |