| NPI | 1013233758 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD60648236) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OR MD163266) |
| 208M00000X Hospitalist (Licence: AK 7734) | |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2022-06-28 |