| NPI | 1073637286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0129X (Licence: WA MD61452023) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL ME100700) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: WA MD61452023) | |
| 208M00000X Hospitalist (Licence: CA A77485) | |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2025-06-11 |