| NPI | 1194724831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD61069919) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 2007-01074) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: NC 2007-01074) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: NC 2007-01074) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2022-06-03 |