| NPI | 1588001895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61241315) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD196187) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61241315) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD61241315) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD196187) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2022-02-07 |