| NPI | 1801113154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine (Licence: WA MD60928565) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301102742) |
| 207R00000X Internal Medicine (Licence: WA MD60928565) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: MI 4301102742) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MI 4301102742) | |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD60928565) | |
| Enumeration Date | 2010-04-27 |
| Last Update Date | 2021-07-08 |