| NPI | 1013995398 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: MA 208831) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 208831) |
| 208M00000X Hospitalist (Licence: WA MD60959231) | |
| 207R00000X Internal Medicine (Licence: WA MD60959231) | |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2019-07-24 |