| NPI | 1336395672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60697650) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60697650) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA MD447018) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: PA MD447018) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60697650) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-03-30 |