| NPI | 1245294388 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA 30733) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00030733) |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2012-12-11 |