| NPI | 1518283845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA OP60625470) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL OS12185) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA OP60625470) | |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2016-06-14 |