| NPI | 1295010676 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61298541) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD213738) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MA 261072) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2024-05-20 |