| NPI | 1689764086 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA OP60006016) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WI 48702-021) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA OP60006016) | |
| Enumeration Date | 2006-10-14 |
| Last Update Date | 2015-05-29 |