| NPI | 1487830907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60940099) |
| Additional Taxonomies | 207RC0200X Internal Medicine Critical Care Medicine (Licence: AZ 53472) |
| 207RP1001X Internal Medicine Pulmonary Disease (Licence: AZ 53472) | |
| 207RS0012X Internal Medicine Sleep Medicine (Licence: AZ 53472) | |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2020-12-11 |