| NPI | 1235816224 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MDRE.ML.61463516) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MDRE.ML.61463516) |
| Enumeration Date | 2023-06-30 |
| Last Update Date | 2023-06-30 |