| NPI | 1689772121 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NH 24233) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00022186) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00022186) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2023-06-14 |