| NPI | 1962515742 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00046082) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD26497) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00046082) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD26497) | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2023-07-20 |