| NPI | 1992739304 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OH 35087113) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OH 35087113) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00035231) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00035231) | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-10-14 |