| NPI | 1518003672 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: MD D84190) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00047468) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00047468) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2018-03-17 |