| NPI | 1497869309 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD14564) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00035026) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD14564) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00035026) | |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2007-07-08 |