| NPI | 1679589923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00048087) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 220329) |
| 207R00000X Internal Medicine (Licence: WA MD00048087) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00048087) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: AK 6698) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-10-01 |