| NPI | 1235135575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 40857) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00021817) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00021817) | |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2012-03-21 |