| NPI | 1659318798 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: ID M-6285) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00019272) |
| 174400000X Specialist (Licence: WA MD00019272) | |
| 207R00000X Internal Medicine (Licence: WA MD00019272) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00019272) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: ID M-6285) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2019-12-11 |