| NPI | 1205873668 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease (Licence: WA MD60583622) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: WA MD60583622) |
| 207RC0200X Internal Medicine Critical Care Medicine (Licence: ID MC-1747) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: WA MD60583622) | |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-02-24 |