| NPI | 1326018821 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine (Licence: WA MD00033867) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00033867) |
| 207RA0401X Internal Medicine, Addiction Medicine (Licence: CA C143486) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00033867) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2020-06-19 |