| 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 |