| NPI | 1558625186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60797623) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60797623) |
| 207R00000X Internal Medicine (Licence: MA 252081) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60797623) | |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2018-04-23 |