| NPI | 1790914323 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: WA MD000248226) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00024826) |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD00024826) | |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2012-07-02 |