| NPI | 1053610493 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: WA MD60694528) |
| Additional Taxonomies | 207QS1201X Family Medicine, Sleep Medicine (Licence: WA MD60694528) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: WA MD60694528) | |
| 208M00000X Hospitalist (Licence: WA MD60694528) | |
| 208M00000X Hospitalist (Licence: CA A127480) | |
| Enumeration Date | 2011-03-24 |
| Last Update Date | 2022-11-08 |