NPI | 1164522876 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: WA MD17581) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD17581) |
207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD17581) | |
207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD17581) | |
Enumeration Date | 2006-09-23 |
Last Update Date | 2011-02-19 |