| NPI | 1609836824 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00029049) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00029049) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA md00029049) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA md00029049) | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2020-12-01 |