| NPI | 1750492286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60095193) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A89571) |
| 207R00000X Internal Medicine (Licence: WA MD60095193) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-03-21 |