| NPI | 1942347711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00019238) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00019238) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: AZ 57205) | |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-04-10 |