| NPI | 1528160462 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD26055) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: TN MD0000036625) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00045316) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD26055) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00045316) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: TN MD0000036625) | |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2022-02-04 |