| NPI | 1932308020 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD60380849) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA ML20008958) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CA A111878) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2014-04-22 |