| NPI | 1174972624 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD61436567) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA 61436567) |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2023-10-30 |