| NPI | 1588770655 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD205339) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD00042448) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00042448) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00042448) | |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2026-05-07 |