NPI | 1063587566 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208M00000X Hospitalist (Licence: WA MD00042211) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD00042211) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2023-09-18 |