| NPI | 1558478255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD21277) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00043835) |
| 207R00000X Internal Medicine (Licence: OR MD21277) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD21277) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00043835) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00043835) | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2008-08-26 |