NPI | 1679596894 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WA MD00040817) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00040817) |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: AZ 65755) | |
207RC0200X Internal Medicine, Critical Care Medicine (Licence: MT 35484) | |
207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD00040817) | |
207RS0012X Internal Medicine, Sleep Medicine (Licence: MT 35484) | |
Enumeration Date | 2006-07-26 |
Last Update Date | 2022-02-04 |