| NPI | 1285012963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKHIL RAGHURAM Md, Director 360-839-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine Sleep Medicine (Licence: WA MD00045684) |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: OR MD28263) |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2015-05-13 |