| NPI | 1841357381 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00036928) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD00036928) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2018-11-09 |