| NPI | 1851484398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60630895) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME108318) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: FL ME108318) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: FL ME108318) | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-01-18 |