| NPI | 1083700025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: HI MD-13929) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WA MD60067033) |
| 207R00000X Internal Medicine (Licence: HI MD-13929) | |
| 208M00000X Hospitalist (Licence: WA MD60067033) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2023-09-06 |