| 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 |