| NPI | 1396076741 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: MA 276732) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD60642211) |
| 207R00000X Internal Medicine (Licence: OR MD161003) | |
| 207R00000X Internal Medicine (Licence: WA MD60642211) | |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD60642211) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: OR MD161003) | |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD60642211) | |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2021-10-22 |