| NPI | 1437168010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: HI MD-20951) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00037107) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD126339) | |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2021-09-22 |