| NPI | 1053739995 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IN 02008088A) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA OP61082106) |
| 208M00000X Hospitalist (Licence: WA OP61082106) | |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2024-12-16 |