| NPI | 1740695394 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD61142571) |
| Additional Taxonomies | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD61142571) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2024-02-19 |