| NPI | 1548408156 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60798736) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD165873) |
| 207R00000X Internal Medicine (Licence: WA MD60798736) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD165873) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60798736) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD165873) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2018-03-17 |