| NPI | 1053977520 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: CA A197681) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD61276875) |
| 207R00000X Internal Medicine (Licence: CA A197681) | |
| 208M00000X Hospitalist (Licence: WA MD61276875) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-08-30 |