| NPI | 1417179623 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD 60445418) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA md439685) |
| 207R00000X Internal Medicine (Licence: CA a100862) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 85783) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: PA md439685) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD 60445418) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD439685) | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2024-04-05 |