| NPI | 1477520120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: HI MD23504) |
| Additional Taxonomies | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: OR MD25004) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: OR MD25004) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: OR MD25004) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2024-07-03 |