| NPI | 1992200844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD61494658) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61494658) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61494658) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-06-14 |