| NPI | 1689895211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60140055) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: KS 946085) |
| 207R00000X Internal Medicine (Licence: WA MD60140055) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60140055) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2025-07-18 |