| NPI | 1568410041 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: NC 2024-01049) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00046021) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00046021) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NC 2024-01049) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2025-01-06 |