| NPI | 1497917405 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61557368) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61557368) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: SC 37847) | |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2024-10-28 |