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 |