| NPI | 1124558036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61544612) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WA 61544612) |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: WA 61544612) | |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2024-10-11 |