| NPI | 1376590778 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00037135) |
| Additional Taxonomies | 174400000X Specialist (Licence: WA MD00037135) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA md0037135) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2022-10-04 |