| NPI | 1013213610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AZ 66433) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: AZ 66433) |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: AZ 66433) | |
| 207RI0200X Internal Medicine, Infectious Disease (Licence: WA MD60350991) | |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2022-08-31 |