NPI | 1043316110 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: WA MD00034819) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 34819) |
Enumeration Date | 2006-09-16 |
Last Update Date | 2021-04-29 |