| NPI | 1427107978 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00047647) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00047647) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00047647) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2014-02-21 |