| NPI | 1043271869 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD60666026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: UT 324378-1205) |
| 207R00000X Internal Medicine (Licence: OR MD21533) | |
| 208M00000X Hospitalist (Licence: OR MD21533) | |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2021-07-15 |